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教育王國 討論區 特殊教育 Hello, Dr.T speaking...
樓主: Dr.T
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Hello, Dr.T speaking... [複製鏈接]

Rank: 5Rank: 5

醒目開學勳章


1217
2061#
發表於 06-7-25 15:08 |只看該作者

Re: Hello, Dr.T speaking...

Dr. T,
  
  小兒今年2歲. 剛剛做完評估, 各方面比同齡小朋友慢了幾個月.  請問Dr. T 現在我應該甚樣做去 train up 小兒呢?  謝謝!!
  

Rank: 3Rank: 3


109
2062#
發表於 06-7-25 17:54 |只看該作者

Re: Hello, Dr.T speaking...

Dr. T,

我個仔由2歲半講說話時開始運用代名詞 (例如你和我),但成日用錯你和我,矯正他的說話已差不多半年,但係現在仲有50%機會錯的。

請問一般小朋友大約幾多歲可以完全正確使用代名詞呢?

Rank: 3Rank: 3


201
2063#
發表於 06-7-26 15:22 |只看該作者

Re: Hello, Dr.T speaking...

Dr. T,
我囝囝綱4 歲, 自小開始, 如果帶他出外而當日沒有睡午睡, 那麼當天晚上即使很早就上

Rank: 5Rank: 5


2324
2064#
發表於 06-7-30 17:41 |只看該作者

Re: Hello, Dr.T speaking...

我覺得熱情不是主要的問題,問題是小朋友不清楚何時/何地才應該熱情.所以單純地"戒"熱情表現不是太理想的做法(例如一見他表現熱情便責罵).

要統一口徑不是易事,但似乎是較治本的方法.

hoho1105 寫道:
...其實都係冇咩嘢可以做到幫佢介熱情方面ge問題係未?

Rank: 5Rank: 5


2324
2065#
發表於 06-7-30 17:44 |只看該作者

Re: Hello, Dr.T speaking...

訓練的方向要視乎評估結果...評估者應有所提點,單只是知道慢了幾個月實在不知道應該訓練甚麼

tracytang 寫道:
  小兒今年2歲. 剛剛做完評估, 各方面比同齡小朋友慢了幾個月.  請問Dr. T 現在我應該甚樣做去 train up 小兒呢?  謝謝!!

Rank: 5Rank: 5


2324
2066#
發表於 06-7-30 17:58 |只看該作者

Re: Hello, Dr.T speaking...

我覺得要到了3歲左右才會完全避免錯誤,因為始終是一個抽象的概念,所以你小朋友的表現屬可接受範圍...如有高/低估煩各方高人指教.

chunghimmama 寫道:
我個仔由2歲半講說話時開始運用代名詞 (例如你和我),但成日用錯你和我,矯正他的說話已差不多半年,但係現在仲有50%機會錯的。...請問一般小朋友大約幾多歲可以完全正確使用代名詞呢?

Rank: 5Rank: 5


2324
2067#
發表於 06-7-30 18:07 |只看該作者

Re: Hello, Dr.T speaking...

我不會無限上綱地認為是潛意識的問題...其實這個情況似乎頗普遍,過份疲倦是主因之一,以下是在網上找到的一篇文章(英文)-

Night Terrors:From Vincent Iannelli, M.D.,
Your Guide to Pediatrics.

Pediatric Basics
Night terrors are a common sleep problem among children. By some estimates, about 15% of younger children have occasional night terrors. Although most common in children between the ages of 2 and 6 years, they can occur at almost any age.
Although usually considered to be normal or benign, they are often very scary and distressing to parents who often overreact, especially during a child's first night terror.

Symptoms
When you hear how most experts describe night terrors, it is easy to see why parents find them distressing. Children who have night terrors are usually described as 'bolting upright' with their eyes wide open, with a look of fear and panic, and letting out a 'blood curdling scream'.

These kids will usually also be sweating, breathing fast and have a rapid heart rate (autonomic signs). And although it will seem like they are awake, during a night terror, children will appear confused, will not be consolable and won't recognize you.

Typical night terrors last about 5 to 30 minutes and afterwards, children usually return to a regular sleep. If you are able to wake your child up during a night terror, he is likely to become scared and agitated, mostly because of your own reaction to the night terror, especially if you were shaking or yelling at him to wake up. Instead of trying to wake up a child having a night terror, it is usually better to just make sure he is safe, comfort him if you can, and help him return to sleep once it is over.

Diagnosis
The diagnosis of night terrors is usually made by the history of a child 'waking' early in the night screaming and being inconsolable. Night terrors are most often confused with nightmares, but unlike night terrors, a child having a nightmare is usually easily woken up and comforted.

The other worry for many parents is that these episodes are a type of seizure. Although different types of partial seizures, including temporal lobe and frontal lobe epilepsy, can appear similar to night terrors, they are usually brief (30 seconds to a few minutes) and are more common in older children and adults.

Treatments
No treatment is usually necessary for routine night terrors. Since they are often triggered in children who are overtired, sticking to a good bedtime routine and making sure your child is getting enough rest can help to prevent them.

For children who get frequent night terrors, it might help to wake your child up before the time that he usually has a night terror. This is thought to interrupt or alter the sleep cycle and prevent night terrors from occuring (it also works for sleepwalking).

Rarely, sleep medications might be used for a short time if your child gets very frequent night terrors.

What You Need To Know
Night terrors are also called sleep terrors or pavor nocturnus.

Similar to sleepwalking and sleeptalking, night terrors are considered to be a disorder of arousal and are a partial arousal from non-REM sleep.


Unlike a nightmare, children usually don't recall having a night terror.

Also unlike nightmares, night terrors usually occur in the early part of the night, about 1 to 4 hours after going to sleep.

If your child gets night terrors, make sure that baby sitters and other caregivers are aware of them and know what they should do if one occurs.

Most children outgrow night terrors as they get older.

[quote]
Big谷媽 寫道:
我囝囝綱4 歲, 自小開始, 如果帶他出外而當日沒有睡午睡, 那麼當天晚上即使很早就上

Rank: 3Rank: 3


201
2068#
發表於 06-7-31 17:21 |只看該作者

Re: Hello, Dr.T speaking...

我囝囝的情況跟文章所講的十分相似, 看來我也不用太擔憂. Dr. T, thank you so
much!

Rank: 1


6
2069#
發表於 06-8-5 01:38 |只看該作者

Re: Hello, Dr.T speaking...

Dr. T,
我小朋友剛評估為亞氏保加症, 正常與家人相處無問題, 可能我們知道佢的需求, 但當佢同其他小朋友接觸學習時, 如果發生一些不是他想像的事或他覺得其他人取笑他, 他便會控制不了自己的情緒, 我曾教他要冷靜下(如飲水或行開下)但有些情況是不可能的, 如上課中, 對他有很大壓力, 老師說佢很想冷靜但佢做唔到, 只是口中常說"我冷靜唔到呀....我冷靜唔到呀", 我怕他會把自已壓迫得太利害, 請問我如何處理呢?
先謝謝你的回覆!

Rank: 5Rank: 5


2324
2070#
發表於 06-8-5 12:40 |只看該作者

Re: Hello, Dr.T speaking...

教導他在需要時作出口頭提示是方向正確的做法,但也許他還需要一些實際的行動去抒緩他緊張的情緒...上課時可以做的有限,深呼吸或拿一張紙出來寫/畫出心中的感受也許是可行的辦法.但我覺得最重要的還是在環境上協助-很多時候我們怎樣教也阻擋不了其他人一句"傻仔"的損害性.

你擔心他抑壓過多會造成反後果,那就需要在其他時間給予他機會表達出自己的感受及檢討現行方法的利弊.

1516mum 寫道:
...但當佢同其他小朋友接觸學習時, 如果發生一些不是他想像的事或他覺得其他人取笑他, 他便會控制不了自己的情緒, 我曾教他要冷靜下(如飲水或行開下)但有些情況是不可能的, 如上課中, 對他有很大壓力, 老師說佢很想冷靜但佢做唔到, 只是口中常說"我冷靜唔到呀....我冷靜唔到呀", 我怕他會把自已壓迫得太利害, 請問我如何處理呢?

Rank: 1


6
2071#
發表於 06-8-7 01:01 |只看該作者

Re: Hello, Dr.T speaking...

Dr.T 寫道:
教導他在需要時作出口頭提示是方向正確的做法,但也許他還需要一些實際的行動去抒緩他緊張的情緒...上課時可以做的有限,深呼吸或拿一張紙出來寫/畫出心中的感受也許是可行的辦法.但我覺得最重要的還是在環境上協助-很多時候我們怎樣教也阻擋不了其他人一句"傻仔"的損害性.

你擔心他抑壓過多會造成反後果,那就需要在其他時間給予他機會表達出自己的感受及檢討現行方法的利弊.


多謝你的回答, 我很高興我的做法正確, 但我有些不明白, 你的意思是否不要計對一件事, 要在其他可能的情況下比佢舒發下自己的情緒, 定還是在事件過後可能情況下, 如在家的故事或談話時間內再題出之前的事件教他其他表達方法?

Rank: 3Rank: 3


332
2072#
發表於 06-8-7 01:27 |只看該作者

Re: Hello, Dr.T speaking...

[quote]
Dr.T 寫道:
我覺得熱情不是主要的問題,問題是小朋友不清楚何時/何地才應該熱情.所以單純地"戒"熱情表現不是太理想的做法(例如一見他表現熱情便責罵).

要統一口徑不是易事,但似乎是較治本的方法.






你講得啱........睇完你ge回應之後、我仿似叮一聲咁。我明白你意思、多謝大俠指點。

Rank: 5Rank: 5


2324
2073#
發表於 06-8-7 12:25 |只看該作者

Re: Hello, Dr.T speaking...

抱歉說得不明不白

我的意思是無論有沒有"事件"發生,也要讓他明白其實還有其他方法去疏導情緒.如果已經有定期的傾偈/講故事時間那就更好...但最好是找一個相似的故事借題發揮,不好太明刀明槍.

1516mum 寫道:
...你的意思是否不要計對一件事, 要在其他可能的情況下比佢舒發下自己的情緒, 定還是在事件過後可能情況下, 如在家的故事或談話時間內再題出之前的事件教他其他表達方法?

Rank: 3Rank: 3


371
2074#
發表於 06-8-8 15:40 |只看該作者

Re: Hello, Dr.T speaking...

Hello Dr. T,

My child is already 4 years and 3 months old but she cries very easily and becomes withdrawn in a strange environment. Is it possible that children this age still suffer from separation anxiety?  Is it normal for some children to have a long settling in period? What can I do to help her?  I'm not sure if we need professional help.

-        My child learnt a lot of songs in school and she would sing and act out the songs at home.  Not until we talked to the teacher did we find out that she never sang in class.
-        She sang very well at home but at the year-end school concert, she cried and refused to go on to the stage (she was the first in line to go up)
-        She learnt some Putonghua songs in a summer school and asked me to help her. After practicing a few times, she could sing them on her own.  Later, I found out from the summer school teacher that she still didn't participate in the circle time singing.
-        In the summer sports camp, she cried and refused to participate and chose to sit around to watch throughout the two and a half hour lesson.
-        She's been going to Sunday school for 2 years already but every time I dropped her off, she would cry.  She said it was too noisy there.
-        We invited her classmates over to play but my child only clung to me when they were there.  After they left, she told me that she would like them to come over again.  But she didn't even talk to or play with them when they were around!

She's a very sensitive girl.  When people laugh, she would cry, probably because she thinks they are laughing at her.  When I get upset with her, she would cry.  Then she would explain to me why she cries when I don't look angry anymore.

To me, she's over-sensitive, shy, insecure, lacking self-confidence,….  What can I do to help her?  Or what can I do to help myself?  I'm getting really frustrated.

Rank: 4


864
2075#
發表於 06-8-9 15:45 |只看該作者

Re: Hello, Dr.T speaking...

Dr. T,

I have a question about my 13 month old boy.  I have been taking him to playgroups once a week for almost a month.  Apart from the first class which he seemed to enjoy and happily participate, he has always been very difficult at class since.  

Particularly, whenever the kinds and parents sit in a circle and the teacher asks the kids to follow her or sing with her.  My boy always refuses to sit down (or face the teacher) and is always trying to turn to me and climb onto me, wanting me to hold him.  The only time he is not clinging onto me is free-play time (i.e. when all the kids sit down and play with toys) during which he will happily sit down and play with toys.

I have observed other kids in the playgroup, and whilst some of the kids may not be co-operative, or is very clingy on an odd day (whether because of hunger or lack of sleep or other unknown reasons), they would still be able to sit down and attend the class properly on other days.  My son seems to be the only one who hates the class for the majority of the time.  I have tried to eliminate all other causes (e.g. making sure he is not hungry or tired or changing wet nappy), but the outcome is always the same and I feel that he does not like being there.

Do you have any idea why my boy behaves like that?  The teacher comforted me and told me that some kids go through another stage of clinginess when they are 1.5 year old.  Do you think that could be the reason why?

many thanks for any views which you may have.

Best wishes.

Rank: 1


6
2076#
發表於 06-8-10 02:12 |只看該作者

Re: Hello, Dr.T speaking...

Dr.T 寫道:
抱歉說得不明不白

我的意思是無論有沒有"事件"發生,也要讓他明白其實還有其他方法去疏導情緒.如果已經有定期的傾偈/講故事時間那就更好...但最好是找一個相似的故事借題發揮,不好太明刀明槍.


不用抱歉, 你的答覆已給我很大的幫助, 我謝謝你才真   

Rank: 5Rank: 5


2324
2077#
發表於 06-8-11 11:33 |只看該作者

Re: Hello, Dr.T speaking...

表面看來似乎小朋友是一個比較內向及不太敢面對新環境的人.另一方面,言語表達能力亦似乎有點局限-不是有問題,而是不足以表達自己的情緒,所以凡事用哭來解決.

家庭方面可以做的是加強她的言語表達,尤其是情緒,的能力.多共同閱讀一些關於小朋友面對不同環境的故事書可令她學多一些有關的字彙.

亦可考慮參加一些師生比例較小的社交技巧班.讓孩子在"安全"的環境下學習與人溝通.

Sandrine 寫道:
...she's over-sensitive, shy, insecure, lacking self-confidence,….  What can I do to help her?  Or what can I do to help myself?  I'm getting really frustrated.

Rank: 5Rank: 5


2324
2078#
發表於 06-8-11 11:40 |只看該作者

Re: Hello, Dr.T speaking...

由於只是一星期一次,所以只是一個月(4次)時間還未適應是不出奇的事-因為上一次的良好經驗(如果有的話)已經忘記了.我見過有小小朋友返這些每周一次遊戲小組要多月才能適應.

改善的方法似乎是增加參與的次數比較直接,因為孩子需要多一些機會"認識"其他人以減低他的抗拒感.

auwaisan 寫道:
...Do you have any idea why my boy behaves like that?  The teacher comforted me and told me that some kids go through another stage of clinginess when they are 1.5 year old.  Do you think that could be the reason why?...

Rank: 3Rank: 3


371
2079#
發表於 06-8-11 16:10 |只看該作者

Re: Hello, Dr.T speaking...

Hi Dr. T,

Thanks very much for your reply. This summer, I've arranged a range of activities for her to meet other children but it didn't seem to help much. I've tried hard to introduce to her first experiences, e.g. we've almost finished reading the whole series of Berenstain Bears first-time books. One time I asked her why she didn't participate, she told me that she got no friends there.  Another time, she said she wanted to be alone. When I asked her whether she was afraid, she said no.  Is it possible that she's denying her own feeling? Shouldn't kids this age like to play with others?!  Why is she such a loner?  Is such character inborn?

She is also afraid of making mistakes. When we read and when I asked her to guess what would happen next in the story, her answers were always, "I don't know." Very rarely would she give it a try.  What can I do to build her self-confidence?  I think she's a very capable child but she just wouldn't want to try new things.  This really bothers us.

言語表達能力亦似乎有點局限,不足以表達自己的情緒,所以凡事用哭來解決.
家庭方面可以做的是加強她的言語表達,尤其是情緒,的能力.多共同閱讀一些關於小朋友面對不同環境的故事書可令她學多一些有關的字彙.

Rank: 5Rank: 5


2324
2080#
發表於 06-8-11 16:41 |只看該作者

Re: Hello, Dr.T speaking...

就社交發展方面,如果小朋友本身的能力不足夠(指技巧上)只是讓他們面對一大班小朋友是不足夠的,因為孩子根本不懂得如何與人相交,強行要求她"投入"是無補於事-我認為她有需要參加一些小組方式的社交訓練.

自信與社交表現是相輔相承的,不敢嘗新的小朋友自然不會敢面對一個不可估計的社交環境.

Sandrine 寫道:
...This summer, I've arranged a range of activities for her to meet other children but it didn't seem to help much....What can I do to build her self-confidence?  I think she's a very capable child but she just wouldn't want to try new things.  This really bothers us.
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